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General NPI Number Information
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NPI Number | 1003201245
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Entity Type | Individual
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Provider Name | NEGIN ZARE
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Gender | Female
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Dates
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Enumeration Date | 04/04/2015
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 18821 DELAWARE ST STE 106
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1935
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Country | US
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Telephone | 714-963-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 8221 PETERS AVE
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City | MIDWAY CITY
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State | CA
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Zip | 92655-1620
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Country | US
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Telephone | 714-800-9522
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 14349
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 291388
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License Number State | CA
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